1. A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the
provider?
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?
Position pillows between the bony prominences
3. A nurse is caring for a postoperative client receiving IV cefazolin. Ten minutes
into the infusion, the client reports intense itching. What action should the nurse
take first?
Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. What should
the nurse include?
You are at risk for infertility with this infection, regardless of treatment
5. A nurse examining a client’s IV site notes a red line and reports burning pain.
What complication is this?
Thrombophlebitis
6. A nurse is reinforcing teaching on testicular self-examination. Which client
statement shows understanding?
I understand that testicular cancer is painless
, 7. A nurse in a long-term care facility finds a client with rectal fullness and
abdominal cramping. What finding suggests fecal impaction?
Small liquid stools
8. Teaching about Mohs surgery for skin cancer should include which
information?
Mohs surgery is a horizontal shaving of thin layers of the tumor
9. A client with GERD receives teaching. Which client statement shows
understanding?
I should wait at least 2 hours after eating before going to bed
10. Steps for managing an IV complication (pain and swelling):
1. Check the IV site
2. Stop the infusion
3. Withdraw the catheter
4. Elevate the arm
5. Notify the charge nurse
11. An older adult at risk for osteoporosis should be encouraged to:
Encourage weight-bearing exercises
12. After a cardiac catheterization via the femoral artery, what should the nurse
do?
Monitor the insertion site for bleeding
Maintain the pressure dressing
Check peripheral pulses
morphine. Which of the following findings should the nurse report to the
provider?
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?
Position pillows between the bony prominences
3. A nurse is caring for a postoperative client receiving IV cefazolin. Ten minutes
into the infusion, the client reports intense itching. What action should the nurse
take first?
Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. What should
the nurse include?
You are at risk for infertility with this infection, regardless of treatment
5. A nurse examining a client’s IV site notes a red line and reports burning pain.
What complication is this?
Thrombophlebitis
6. A nurse is reinforcing teaching on testicular self-examination. Which client
statement shows understanding?
I understand that testicular cancer is painless
, 7. A nurse in a long-term care facility finds a client with rectal fullness and
abdominal cramping. What finding suggests fecal impaction?
Small liquid stools
8. Teaching about Mohs surgery for skin cancer should include which
information?
Mohs surgery is a horizontal shaving of thin layers of the tumor
9. A client with GERD receives teaching. Which client statement shows
understanding?
I should wait at least 2 hours after eating before going to bed
10. Steps for managing an IV complication (pain and swelling):
1. Check the IV site
2. Stop the infusion
3. Withdraw the catheter
4. Elevate the arm
5. Notify the charge nurse
11. An older adult at risk for osteoporosis should be encouraged to:
Encourage weight-bearing exercises
12. After a cardiac catheterization via the femoral artery, what should the nurse
do?
Monitor the insertion site for bleeding
Maintain the pressure dressing
Check peripheral pulses
